Marciniak, Steven A

Marciniak, Steven A is an individual health care provider with primary practice located at 2111 Ogden Ave , Aurora IL 60504-7597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Marciniak, Steven A can be contacted via phone (630) 978-3800.

Contact Information

Primary practice address
2111 Ogden Ave Aurora IL 60504-7597
Fax: (630) 862-3085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036097420 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036097420 Illinois

Profile Details

NPI number 1205813813
LBN Legal business name Marciniak, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated May 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205813813 NPPES
Illinois MEDICAID 036097420

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